Dual-trained physician Kelley J. De Leeuw, MD, MPH completed the combined Family Medicine and Psychiatry residency at UC San Diego in 2014 and her UCSD-affiliated office is listed at 200 West Arbor Drive in Hillcrest. The dual-board pathway means De Leeuw practices both primary care and outpatient psychiatry, integrating medical workups for thyroid, B12, and metabolic contributors to mood symptoms in a way most psychiatry-only offices defer to colleagues at UC San Diego Health Family Medicine. She earned her MD at Ponce Health Sciences University before completing the seven-year combined residency, one of a small number of dual-trained physicians practicing in San Diego. Her clinical interests cover addiction medicine, integrated behavioral health for federally qualified health center populations, and depression treatment that overlaps medication-management territory also worked by Dr. David Folsom. The most involved cases combine annual physical exams with concurrent psychiatric medication management for patients whose primary care and behavioral health are coordinated under a single physician rather than split across two offices.